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Review
. 2020 Jul-Sep;10(3):e20.00079.
doi: 10.2106/JBJS.CC.20.00079.

Isolated Acromial Fracture in a Cyclist: A Case Report and Review of the Literature

Ruben Dukan  1 , Johnny Abboud  2 , Younes Ouchrif  2
Affiliations
Review

Isolated Acromial Fracture in a Cyclist: A Case Report and Review of the Literature

Ruben Dukan et al. JBJS Case Connect. 2020 Jul-Sep.

Abstract

Case: An isolated acromial fracture was diagnosed in a 45-year-old subject, recreational athlete, during a cycling fall on the shoulder. Clinical examination combined with x-ray and computerized tomography scan confirmed the isolated injury. Open reduction and osteosynthesis using a tension band technique was performed. The patient was immobilized in a sling for 6 weeks, and fixation hardware was removed after 6 months. At the 1-year follow-up, patient had returned to his preinjury level of athletic activity.

Conclusion: Isolated acromial fracture is an uncommon sports-related injury. Although several treatment modalities exist, nonoperative, immobilization treatment is typically effective if fracture is not displaced. Osteosynthesis should be considered if there is subacromial impingement or fracture displacement >10 mm.

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